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LOCAL HEALTH DEPARTMENT BUDGET <br /> 4 <br /> LC. Deparn'e t of Environment, <br /> Health, and Natural Resources ti Revision Number___ <br /> )ivision of General Services L 9 <br /> .Fy n i Division of Maternal and Child Health ° ' —2,7 <br /> / ��� P. O. Number <br /> 07 / 93 06.. / 94 0 ..9______4_ 5 1 _5.__L [L 0 & _. <br /> Effective Date Termination Date Contract Number <br /> ;ontractor: 0rangP rn- lien th nPpt Activity: Family Planning <br /> 'rojectDirector: fanial R. RPim.r Total Budget:$ 527 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 527 <br /> Operating Expenses OP EXP 2000 . <br /> P Purchase of Equipment EQUIP 5000 . <br /> E - General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health kS B . ..`. :: IJA ,... . :; <br /> D Clinician _ CLN 6863 <br /> I s <br /> Laboratory LAB . 6862 a <br /> T Pharmacy Services S b865. <br /> U Transfer TXIX x 4 , <br /> R Subtotal State Expend. $ 527 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 -&- <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 527 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E , TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ -Q-- <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> p DC14NR � i7 _ A � isis - to too - 5151 - y_XXv 5D-7 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 5-7 <br /> TOTAL RECEIPTS—equal to Total Expenditures $527 <br /> Iii, 1 # / 9 W\\V'1,1 r r4L.. /4/ 7 /' s Y <br /> Local Authorized Official Signatur/r Date Branch»aa Division/Sec ' n Signatui Date <br /> wdal <br /> _.,-,e-7 --r _ <br /> Finance Officer Signature � Date Accountant Fiscal Management Si a re Date <br /> kip <br /> )EHNR 29 c(Revisedn(Re) PIS / ° RECEIVED JUL 0 6 1994 <br /> 3cneTal Services Division(Review 2/94) � (� 3 <br />